 IRISH
EYES ORDER FORM |
| NAME: |
| SHIPPING ADDRESS: |
| CITY, STATE/PROVINCE,
ZIP: |
| PHONE: |
CELL: |
E-MAIL: |
Please Print
and Mail this form to Irish Eyes, 5911 Mercer Creek Drive, Florence,
OR 97439
| QTY |
ITEM |
COLOR |
SIZE |
UNIT PRICE |
TOTAL |
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Add Shipping charges as
follows:
To request overseas shipping
charges, cost for shipping mugs, or for preferred alternate
shipping means, please send us an e-mail with your complete
address and a recap of what you wish to order.
|
- 0 to $25.00 = $5.00
- 25.01 to $55.00
= $6.00
- 55.01 T0 85.00
= $8.00
- 85.01 to 125.00
= $10.00
- 125.01 to 145.00
= $12.00
- 145.01 to 185.00
= $14.00
- 185.01 to 200.00
and up = $16.00
|
ORDER
TOTAL |
|
| SHIPPING |
|
| HANDLING |
$2.00
|
| GRAND
TOTAL |
|
We
Accept Major Credit Cards
  |
|
Visa
or Mastercard by phone, mail, e-mail, fax or payment
by check via mail, or payment with PayPal which
accepts all major credit cards. PayPal e-mail
invoicing can also be arranged.
|
| MASTERCARD/VISA
#: |
EXPIRE
DATE: |
| NAME AS IT APPEARS
ON CARD: |
3 DIGIT SECURITY CODE: |
| SIGNATURE: |
Mail Your
Completed Order Form with Payment to:
Irish
Eyes
Marian McLeod
5911 Mercer Creek Drive
Florence, OR 97439
Phone: 541/902-0579
E-mail: catskin@charter.net
Visit Our
Web Site at: www.irisheyesdogs.com
Thank you
for shopping at IrishEyesDogs.com
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